Hepatic colic is characterized by acute pain in the right hypochondrium , radiating and posterior, often associated with nausea and vomiting . It is related to an acute distention of the bile ducts . The main cause of hepatic colic is cholelithiasis, responsible for approximately 98% of cases, but other possible causes should not be ignored: cancers (especially those of the ampulla of Vater), benign tumors, choledocitis, certain parasitoses (fluke, ascaris and especially ruptured hydatid cyst in the bile ducts).
We will talk in this article about hepatic colic of lithiasic origin . It is quite obvious that, in hyperalgesic hepatic colic attacks, the classic antispasmodics make it possible to relieve the patient very quickly. Homeopathic treatment will then only play an auxiliary role, but it may be sufficient on its own in certain crises of low or medium importance .
The role of Belladonna in hepatic colic
The pain starts and ends abruptly . They are aggravated by the slightest touch, even brushing, and by shaking. The abdomen is tense and warm. Often there is presence of general signs: fever and cephalic congestion.
Dosage : If an urgent surgical indication is ruled out, Belladonna is taken in 9 or 15 CH, 5 granules at the rate of painful episodes.
It is often interesting to alternate this drug with one of the drugs below, indicated according to the reaction symptoms of the patient.
The pains are spasmodic , violent , with sudden onset and end . The patient improves folded in two, by the heat and the pressure: the attitude lying down, gun dog, is particularly analgesic .
Dosage : Take in 9 or 15 CH, 5 granules of Colocynthis every 10 to 15 minutes, spacing out as the improvement progresses.
Dioscorea villosa in cholelithiasis pain
Dioscorea villosa is indicated at the same dosage as Colocynthis in patients whose modality of improvement in paroxysmal pain is the opposite of that of Colocynthis : improvement by arching backwards . Its indication is much less frequent.
Medication for inflammation of serous membranes and the parenchyma of the organs they envelop, Bryonia is taken on the following reaction methods:
- Stinging , lancinating pains in the hepatobiliary region, provoked or aggravated by the slightest movement , by strong inspiration. The patient is better lying on the right side and by broad pressure.
- Continuous or relapsing fever with intense thirst for large quantities of cold water at long intervals, oily perspiration which relieves.
- Bitter taste in the mouth, white tongue, dry lips.
- Stools hard, dry, black, bulky, more frequently encountered than bilious diarrhea at the slightest movement.
Dosage : Take 5 to 15 CH, depending on similarity, at the rate of 5 granules every 2 hours. Space following improvement.
Berberis vulgaris and the spasmodic pains of hepatic colic
The pains are very acute, paroxysmal, stabbing. They radiate from a specific point to the stomach and abdomen. They are aggravated by movement, shaking, like those of Bryonia but, unlike the latter, they are aggravated by pressure . One often notes the concomitance of a painful sensitivity to pressure at the level of the left costo-lumbar angle and that of urine very variable in quantity and concentration.
Dosage : Take Berberis vulgaris 5 to 9 CH, 5 granules 3 to 4 times a day.
This medication may be indicated in patients who are particularly intolerant to pain , agitated and angry.
Dosage : Take Chamomilla in 15 or 30 CH, 5 granules 3 times a day.
Nux vomica in hepatic colic
This drug is taken according to the digestive signs (spasmodic pains, nausea, vomiting, pyrosis) but especially according to a particular ground:
- Hypersensitive, sedentary subject.
- Usually prone to good food and overeating.
Dosage : Take Nux vomica in 9 or 15 CH 2 to 4 times a day.
Hepatic colic is manifested by belt pains, accompanied by diarrhea.
Dosage : Take Ricinus communis in 5 CH, alternating with Belladonna, at the rate of painful paroxysms.
Calcarea carbonica in inflammation of gallstones
While Calcarea carbonica is very effective in 15 or 30 CH in the attack of renal colic, it is much less effective in the acute attack of hepatic colic. On the other hand, it is an important disease-modifying drug for cholelithiasis.
Homeopathic therapy therefore makes it possible, in a significant number of cases, in combination or not with conventional antispasmodics, to relieve the patient presenting with an attack of hepatic colic. This method can on the other hand be a therapeutic of the lithiasic ground. As for the rare non-lithiasic causes of hepatic colic, they require etiological therapy, most of the time surgical.